高　燕　郎茂林　金相哲　李　凛　付　星



中药穴位贴敷配合耳压法治疗小儿抽动症

高燕1郎茂林1金相哲1李凛2付星1

【摘要】目的 观察中药穴位贴敷配合耳压法治疗小儿抽动症（脾虚肝亢型）的临床疗效。方法 将80例小儿抽动症患儿随机分为治疗组和对照组，每组各40例。治疗组采用中药穴位贴敷配合耳压法治疗。对照组采用口服氟哌啶醇治疗。比较两组临床疗效。结果 治疗组总有效率92.5%，对照组总有效率67.5%，治疗组总有效率高于对照组，两组比较差异具有统计学意义（P＜0.05）。结论 中药穴位贴敷配合耳压法是治疗小儿抽动症的有效疗法。

【关键词】中药穴位贴敷；耳压法；小儿抽动症

作者单位：1 133000延吉，延边中医医院；2 133000 延吉市112 勘探公司卫生所

Chinese Medicine Point-application Therapy and Auricular-plaster Therapy on Children for Tics

GAO Yan1LANG Maolin1JIN Xiangzhe1LI Lin2FU Xing11 Yanbian Hospital of Traditional Chinese Medicine，Yanji 133000，China，2 112 Exploration Company Health Clinic，Yanji 133000，China

【Abstract】ObjectiveTo observe the clinical effect ofpoint-application therapy and auricular-plaster therapy on children for tics.Methods 80 kids with tic disorders were randomized into a treatment group and a control group，40 cases in each group.The treatment group adopted point-application therapy and auricular-plaster therapy，and the control group adopted oral Haloperidol.Therapeutic efficacy was compared between the two groups.Results The total effective rate was 92.5% in the treatment group，67.5% in the control group.The total effective rate in the treatment group was apparently higher than the total effective rate in the control group，and the difference wasstatistically significant（P＜0.05）.Conclusion Point-application therapy and auricular-plaster therapy is an effective treatment in treating tic disorders in children.

【Key words】Chinese medicine point-application therapy，Auricular-plaster therapy，Children for tics

抽动-秽语综合征是起病于儿童或青少年时期，以不自主、反复、快速的一个或多个部位运动抽动和（或）发声抽动为主要特征的一组综合征。包括短暂性抽动障碍、慢性运动或发声抽动障碍、发声与多种运动联合抽动障［1］。该病多起病于学龄期，但学龄前期并不少见，低于5岁发病者可达40%。运动抽动常在7岁前发病，发声抽动发生较晚。男性学龄儿童患病危险性最高，男女患病比例为3：1～4：1。抽动在精神紧张时加重，入睡后消失，患儿智力不受影响［2］。抽动-秽语综合征的治疗方法有多种，西医以氟哌啶醇、可乐定等药物治疗为主，中医则可单独采用外治法治疗。我院对收治的小儿抽动症临床病例进行分组治疗，现报告如下。

1　临床资料

1.1一般资料